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Direct Debit Authorisation Form
"I need a Direct Debit Authorisation Form for my telecommunications company to collect monthly subscription fees from our Singapore customers, with variable payment amounts ranging from $50 to $200 and the option for customers to set maximum payment limits."
1. Account Holder Information: Details of the account holder including name, ID, contact information
2. Bank Account Details: Bank name, branch, account number, and account type
3. Authorization Declaration: Explicit authorization statement for direct debit arrangement
4. Payment Details: Amount, frequency, and purpose of direct debit
5. Terms and Conditions: Standard terms governing the direct debit arrangement
1. SecoNDAry Account Holder: For joint accounts requiring multiple authorizations
2. Variable Payment Instructions: When payment amounts may vary
3. Special Instructions: Any specific requirements or conditions
1. Schedule of Payments: Detailed breakdown of payment dates and amounts if fixed
2. Bank Terms and Conditions: Standard bank terms relating to direct debit arrangements
3. Data Protection Notice: Detailed privacy policy and data handling procedures
Authors
Account Holder
Authorised Signatory
Bank
Billing Organization
Business Day
Collection Date
Debit Amount
Direct Debit Authorisation
Direct Debit Instruction
Effective Date
Electronic Authorization
Limit Amount
Payment Due Date
Payment Frequency
Reference Number
Standing Instruction
Termination Notice
Transaction Date
Variable Amount
Amount and Frequency
Bank's Rights and Obligations
Cancellation Rights
Change of Bank Details
Confidentiality
Data Protection
Dispute Resolution
Electronic Authorization
Failed Transactions
Fees and Charges
Force Majeure
Governing Law
Indemnity
Insufficient Funds
Liability Limitation
Notices
Payment Terms
Privacy
Record Keeping
Termination
Variation of Terms
Warranty and Representation
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